Organization Active NPI

Journey House Behavioral Health Rva

  • Community/Behavioral Health Agency
  • Henrico, VA
National Provider Identifier
1336914191
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JOURNEY HOUSE BEHAVIORAL HEALTH RVA
Practice address
7740 Shrader Rd Ste F
Henrico, VA 23228-2500
Phone
(804) 201-8060
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kaeler Braine McCollough, BS, MA, CSAC-S
Title
Program Director
Phone
(804) 201-8060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7740 Shrader Rd Ste F
Henrico, VA 23228-2500

Mailing address

12386 River View LN
Montpelier, VA 23192-3048
Phone (804) 201-8060

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1336914191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12386 RIVER VIEW LN",
            "city": "MONTPELIER",
            "state": "VA",
            "postal_code": "231923048",
            "telephone_number": "804-201-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 SHRADER RD STE F",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282500",
            "telephone_number": "804-201-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY HOUSE BEHAVIORAL HEALTH RVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "MCCOLLOUGH",
        "authorized_official_first_name": "KAELER",
        "authorized_official_middle_name": "BRAINE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-201-8060",
        "authorized_official_credential": "BS, MA, CSAC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.